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333 South 132nd Street Omaha NE 68154 | |
| (402) 330-2024 | |
| (402) 697-7019 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 333 South 132nd Street, Omaha, Nebraska |
| Authorized Official Name and Position | Karen Gustafson (DIRECTOR) |
| Authorized Official Contact | 4023302024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
333 South 132nd Street Jewish Family Service Omaha NE 68154-2106 Ph: (402) 330-2024 | 333 South 132nd Street Omaha NE 68154 Ph: (402) 330-2024 |
| NPI Number | 1952413072 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952413072 | NPI | - | NPPES |
| 348269000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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